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[在肥厚性梗阻性心肌病中诱导间隔梗死作为一种治疗选择:关于一例病例的新观察]

[The induction of a septal infarct as a therapeutic alternative in hypertrophic obstructive cardiomyopathy: new observations apropos a case].

作者信息

de la Torre Hernández J M, Sánchez Mata N, Riesco Riesco F, Ruiz Delgado B, Ochoteco Azcárate A, Zueco Gil J, Colman Dejean T

机构信息

Unidad de Hemodinámica, Hospital Universitarion Marqués de Valdecilla, Santander.

出版信息

Rev Esp Cardiol. 1999 May;52(5):339-42.

Abstract

The hypertrophic cardiomyopathy may be associated with a variable degree of left ventricular outflow tract obstruction. There are several available therapeutic strategies for treatment: pharmacological, dual-chamber pacing, surgery and induced septal infarction. This last one is a novel technique with less experience in practice. We present the clinical case of a patient which showed persistent and severe obstruction in spite of the medications and dual-chamber pacing, and who underwent this novel technique. The results were optimal but new observations arise from this particular case.

摘要

肥厚型心肌病可能与不同程度的左心室流出道梗阻有关。有几种可用的治疗策略:药物治疗、双腔起搏、手术和诱导性室间隔梗死。最后一种是一种新技术,在实践中的经验较少。我们介绍了一例患者的临床病例,该患者尽管接受了药物治疗和双腔起搏,但仍存在持续且严重的梗阻,随后接受了这种新技术治疗。结果是理想的,但这个特殊病例引发了新的观察结果。

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